Child Health Plus

Help your child stay healthy with low or no monthly costs. With Child Health Plus, there is never a copay. 

How many children don't get the health care they need because their parents can't afford it? At EmblemHealth, we don't want any children to go without health insurance. That's why we offer the New York State-sponsored Child Health Plus program. 

It provides uninsured children under 19 years of age with a full range of health care services for free or for a low monthly cost, depending on family income. In addition to immunizations and well-child care visits, Child Health Plus covers pharmaceutical prescription drugs, vision, dental, and mental health services.

Looking to become a member?
Call: 1-888-447-2863 (TTY 711), Monday through Friday,
8 am to 6 pm.

Already a member?
Call Customer Service at:
1-855-283-2146 (TTY 711), Monday through Friday,
8 am to 6 pm.

Covered Drugs

For many, getting needed medicines at a cost they can afford is key to their good health. Our Medicaid plans cover a wide range of prescription drugs, both generic  and brand name, organized in levels or tiers. The lower the tier, the lower the cost of the drug will be. 

Plan Summary

PCP Required Yes
Referral for Specialists Visits  Yes
PCP/Specialist Copay No
Network Prime
Out of network coverage Yes*
Deductible None
Out-of-pocket maximum None
Foot care: $40 / $40
Dental services (no annual dollar limit):  Comprehensive optional supplemental benefit
Hearing aid:  $1,800 every 3 years
Routine eyewear:  $0 per year ($240 plan limit per year)
24-Hour nurse hotline:  Yes
SilverSneakers®:  Yes
Prescription drug:  Yes

There are no copayments for any CHPlus benefits, but you may have a monthly payment depending on your family's gross (before taxes) monthly income and your family size compared to the most current Federal Poverty Level (FPL) guidelines. Families with low incomes may be fully subsidized by the State and will not need to pay anything. Those families with higher incomes will need to pay a monthly premium of $9, $15, $30, $45, or $60 per child per month, depending on family income and family size. Those families whose incomes are above 400% are not State subsidized and will need to pay the plan premium rate. To find out the current EmblemHealth non-subsidized CHPlus monthly premium rate, please call Customer Service at 1-800-447-8255, Monday through Friday, 8 a.m. to 6 p.m.

To find out what your monthly premium might be, check the most current FPL chart.


  • CHPlus Member Handbook

get started

Make an Appointment

To make an appointment with a Facilitated Enroller (FE), call toll-free at 1-800-542-2412 (Monday through Friday, 8 am to 8 pm.)

You can also visit the NY State of Health Marketplace online at www.nystateofhealth.ny.gov or call 1-855-355-5777